摘要
目的探讨尿常规检验与C反应蛋白诊断小儿急性阑尾炎的临床价值。方法选取2017年8月至2019年10月到我院治疗的68例小儿急性阑尾炎患儿作为此次研究对象。分别对患儿进行尿常规检验与C反应蛋白诊断,以病理诊断结果为标准,比较两种诊断方式的诊断时间、阳性检出率以及对不同类型阑尾炎的阳性检出率。结果C反应蛋白诊断时间明显长于尿常规检验(P<0.05);C反应蛋白诊断对急性阑尾炎的阳性检出率明显高于尿常规检验(P<0.05);病理诊断结果显示,单纯性阑尾炎患儿24例、化脓性阑尾炎患儿22例、坏蛆性阑尾炎患儿22例。C反应蛋白诊断对单纯性阑尾炎的阳性检出率明显高于尿常规检验(P<0.05);两种诊断方式对化脓性阑尾炎及坏蛆性阑尾炎的阳性检出率比较无显著统计学差异(P<0.05)。结论C反应蛋白诊断对小儿急性阑尾炎的诊断效果比尿常规检验更优,尤其是对单纯性阑尾炎的诊断准确率更高,临床可根据患儿实际情况选择合适的检测方式。
Objective To explore the clinical value of urine routine examination and C-reactive protein in the diagnosis of acute appendicitis in children.Methods Sixty-eight children with acute appendicitis who came to our hospital from August 2017 to October 2019 were selected as the study subjects,urine routine examination and C-reactive protein diagnosis were carried out for the patients respectively,take the pathological diagnosis result as the standard,the diagnosis time,positive detection rate and positive detection rate for diff erent types of appendicitis of two diagnosis methods were compared.Results The diagnostic time of C-reactive protein was significantly longer than that of routine urine examination(P<0.05).The positive rate of C-reactive protein diagnosis in the diagnosis of acute appendicitis was signifi cantly higher than that in the urine routine examination(P<0.05).The results of pathological diagnosis showed that there were 24 cases of simple appendicitis,22 cases of suppurative appendicitis and 22 cases of maggot appendicitis.The positive rate of C-reactive protein diagnosis in the diagnosis of simple appendicitis was signifi cantly higher than that of routine urine examination(P<0.05).There was no signifi cant diff erence in the positive detection rate between the two diagnosis methods(P<0.05).Conclusion The diagnostic eff ect of C-reactive protein diagnosis in the diagnosis of acute appendicitis in children is better than that of routine urine examination,especially for simple appendicitis,and the appropriate detection method can be chosen according to the actual situation of children.
作者
谭颖
刘艳军
王艳华
林琳
TAN Ying;LIU Yanjun;WANG Yanhua;LIN Lin(Department of Laboratory,Shenyang Children's Hospital,Shenyang 110000,China)
出处
《中国医药指南》
2020年第30期97-98,共2页
Guide of China Medicine
关键词
急性阑尾炎
小儿
尿常规检验
C反应蛋白
阳性检出率
临床价值
Acute appendicitis
Children
Urine routine examination
C-reactive protein
Positive detection rate
Clinical value
